Level 5 Musculoskeletal Procedures in Arizona
What 51 hospitals in Arizona charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$91,131
Hospital list price billed
Average allowed
$12,802
Medicare's payment + patient's share
Medicare paid
$11,169
Average per service
State rank
#36 of 49
1 = lowest average payment
Hospitals in Arizona billed an average of $91,131 for level 5 musculoskeletal procedures, about 7.1 times the average medicare-allowed amount of $12,802. That payment is 3% above the U.S. average of $12,402.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $12,802Billed $91,131
About 14¢ was paid for every $1 hospitals in Arizona billed for this service.
Arizona hospitals: level 5 musculoskeletal procedures
Every Arizona hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Surgical Specialty Hospital of ArizonaPhoenix | 826 | $75,994 | $12,603 | $10,971 |
| Scottsdale Healthcare-Thompson Peak HospitalScottsdale | 603 | $109,758 | $12,686 | $11,054 |
| Abrazo Scottsdale CampusPhoenix | 551 | $107,671 | $12,715 | $11,080 |
| Arizona Spine and Joint HospitalMesa | 519 | $85,155 | $12,651 | $11,018 |
| Tucson Medical CenterTucson | 490 | $33,909 | $12,655 | $11,022 |
| Arizona Orthopedic Surgical HospitalChandler | 468 | $95,962 | $12,790 | $11,158 |
| Oro Valley HospitalOro Valley | 426 | $110,504 | $12,683 | $11,049 |
| Mayo Clinic HospitalPhoenix | 382 | $52,826 | $12,668 | $11,036 |
| Scottsdale Healthcare-Shea Medical CenterScottsdale | 348 | $118,635 | $12,686 | $11,053 |
| Honorhealth Sonoran Crossing Medical CenterPhoenix | 322 | $113,570 | $12,726 | $11,094 |
| Scottsdale Healthcare-Osborn Medical CenterScottsdale | 290 | $114,779 | $12,583 | $10,951 |
| Havasu Regional Medical CenterLake Havasu City | 252 | $118,819 | $14,122 | $12,488 |
| Banner del E Webb Medical CenterSun City West | 238 | $67,484 | $12,692 | $11,059 |
| Banner Baywood Medical CenterMesa | 228 | $66,099 | $12,717 | $11,083 |
| O.A.S.I.S. HospitalPhoenix | 226 | $81,964 | $12,765 | $11,133 |
| Northwest Medical CenterTucson | 211 | $100,548 | $12,761 | $11,126 |
| Yavapai Regional Medical CenterPrescott | 205 | $63,537 | $13,604 | $11,972 |
| Banner Boswell Medical CenterSun City | 181 | $61,764 | $12,691 | $11,059 |
| West Valley HospitalGoodyear | 166 | $106,675 | $12,757 | $11,122 |
| Banner Thunderbird Medical CenterGlendale | 151 | $62,520 | $12,518 | $10,883 |
| Yuma Regional Medical CenterYuma | 139 | $88,328 | $13,722 | $12,090 |
| Summit Healthcare Regional Medical CenterShow Low | 138 | $83,746 | $13,634 | $12,002 |
| Flagstaff Medical CenterFlagstaff | 135 | $38,247 | $13,453 | $11,821 |
| Sierra Vista Regional Health Center INCSierra Vista | 125 | $140,707 | $13,625 | $11,993 |
| John C Lincoln North Mountain HospitalPhoenix | 121 | $100,957 | $12,642 | $11,008 |
| John C Lincoln Deer Valley HospitalPhoenix | 121 | $121,464 | $12,814 | $11,182 |
| University Medical CenterTucson | 104 | $55,971 | $12,707 | $11,069 |
| Banner Desert Medical CenterMesa | 99 | $79,245 | $12,493 | $10,867 |
| Mercy Gilbert Medical CenterGilbert | 98 | $105,076 | $12,814 | $11,180 |
| St Lukes Medical CenterPhoenix | 90 | $74,364 | $12,583 | $10,946 |
| Carondelet St Josephs HospitalTucson | 82 | $215,438 | $12,541 | $10,909 |
| Banner Estrella Medical CenterPhoenix | 80 | $68,329 | $12,535 | $10,903 |
| Honorhealth Four Peaks Medical CenterMesa | 77 | $88,490 | $12,569 | $10,937 |
| Banner - University Medical Center PhoenixPhoenix | 71 | $81,965 | $12,342 | $10,708 |
| Valley View Medical CenterFort Mohave | 63 | $170,550 | $13,002 | $11,369 |
| Northwest Medical Center SahuaritaSahuarita | 62 | $124,230 | $12,634 | $11,000 |
| Arrowhead HospitalGlendale | 54 | $173,107 | $12,814 | $11,179 |
| Banner Ironwood Medical CenterQueen Creek | 48 | $62,657 | $12,814 | $11,182 |
| Verde Valley Medical CenterCottonwood | 46 | $44,238 | $13,196 | $11,559 |
| Western Arizona Regional Medical CtrBullhead City | 40 | $202,508 | $12,814 | $11,182 |
| St Joseph's Hospital and Medical CenterPhoenix | 39 | $99,030 | $12,814 | $11,182 |
| Carondelet St Marys HospitalTucson | 35 | $177,371 | $12,814 | $11,182 |
| Kingman Regional Medical CenterKingman | 32 | $117,056 | $12,814 | $11,182 |
| Chandler Regional Medical CenterChandler | 29 | $113,637 | $12,814 | $11,173 |
| Casa Grande Regional Medical CenterCasa Grande | 23 | $52,939 | $13,722 | $12,090 |
| Banner Gateway Medical CenterGilbert | 17 | $79,551 | $12,814 | $11,182 |
| Banner Ocotillo Medical CenterChandler | 15 | $72,840 | $12,815 | $11,167 |
| Valleywise Health Medical CenterPhoenix | – | – | – | – |
| Banner-University Medical Center South CampusTucson | – | – | – | – |
| City of Hope Cancer Center PhoenixGoodyear | – | – | – | – |
| Dignity Health Arizona General HospitalMesa | – | – | – | – |
Lowest and highest allowed amounts in Arizona
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Banner - University Medical Center PhoenixPhoenix, AZ | $12,342 |
|---|---|
| Banner Desert Medical CenterMesa, AZ | $12,493 |
| Banner Thunderbird Medical CenterGlendale, AZ | $12,518 |
| Banner Estrella Medical CenterPhoenix, AZ | $12,535 |
| Carondelet St Josephs HospitalTucson, AZ | $12,541 |
Highest
| Havasu Regional Medical CenterLake Havasu City, AZ | $14,122 |
|---|---|
| Yuma Regional Medical CenterYuma, AZ | $13,722 |
| Casa Grande Regional Medical CenterCasa Grande, AZ | $13,722 |
| Summit Healthcare Regional Medical CenterShow Low, AZ | $13,634 |
| Sierra Vista Regional Health Center INCSierra Vista, AZ | $13,625 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Arizona?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 51 hospitals in Arizona was billed at $91,131 on average, while the average medicare-allowed amount was $12,802, of which Medicare paid $11,169. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Arizona, average charges were 7.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.